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MICKEY DWIGHT STAPP D.P.M. NPI 1023114238


NPI Information

NPI: 1023114238
Provider Name: MICKEY DWIGHT STAPP, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1416 WAINBROOK DR
AUGUSTA, GA
ZIP 30909
Phone: (706) 312-3668
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Mickey Dwight Stapp, D.P.M. is a foot and ankle surgery podiatrist in Augusta, GA with 32 years of experience. Mickey Dwight Stapp, D.P.M. NPI is 1023114238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1992

The provider's business location address is:

1416 WAINBROOK DR
AUGUSTA, GA
ZIP 30909-289
Phone: (706) 312-3668
Fax: (706) 312-3670

The NPI 1023114238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)

The enumeration date for this NPI number is 9/15/2006 and was last updated on 7/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryPOD000728GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480032189OTHERGEORGIARAILROAD MEDICARE
2000660635HMEDICAIDGEORGIA
3575733OTHERGEORGIAAETNA HMO
4GDP728OTHERSOUTH CAROLINASOUTH CAROLINA MEDICAID
52700036OTHERGEORGIAUNITED HEALTHCARE
65106049OTHERGEORGIAAETNA PPO
7555655OTHERGEORGIABCBS OF GEORGIA
8000660635JMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.